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Individual

TIFFANY A LINDBECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12315 LAKE UNDERHILL RD, ORLANDO, FL 32828-4507
(321) 972-4039
Mailing address
1615 SEMORAN NORTH CIR APT 103, WINTER PARK, FL 32792-1453
(407) 745-8519

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
FL
106S00000X
Behavior Technician
RBT-18-50070
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024114600
FL
Enumeration date
12/21/2018
Last updated
08/16/2023
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